Nels Wallace Thorderson, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

18527 Issued in MS

Practice address

499 S Gloster St Ste G1
Tupelo, MS 38801-5539

Phone

(662) 377-2663

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nelsthorderson@nmhs.medalliesdirect.net
• Direct secure messaging: nelsthorderson@oa.exscribedirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopaedic Institute of North Mississippi, LLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1790755320

  MS, Orthopaedic Surgery

  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Orthopaedic Institute of North Mississippi, LLC

  • Durable Medical Equipment & Medical Supplies
  • Amory, MS
  • NPI 1023897444
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1740250331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 S GLOSTER ST # G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015539",
            "telephone_number": "662-377-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 S GLOSTER ST STE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015539",
            "telephone_number": "662-377-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORDERSON",
        "first_name": "NELS",
        "middle_name": "WALLACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MS",
            "license": "18527",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "18527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573566",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Fulton Thompson Jr., MD
• Stephen Thompson
• Temperate Thompson
• Kimberly Thomson
• Gina Thorderson
• Thornton Family Dental Care
• Kellie Thornton, NP
• Raymond Barry Thornton, D.M.D.
• Shelia Thornton
• Zoe Thornton

• All providers in Tupelo, MS
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.